Extra-scleral Extension of Choroidal Melanoma

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File number: 89220


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    Extrascleral Extension of Choroidal Melanoma
    choroidal melanoma, extrascleral extension, metastatic lesion, metastatic cancer, external photography
    Jessica Norkus, COA, OSC
    Imaging device
    Fundus camera
    Topcon TRC 50DX
    89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

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